Discussion On The Medication Rule Of Professor Mao Dexi In The Treatment Of Chest Arthralgia And Heartache Based On Data Mining Technology

Objective: To explore Professor Mao Dexi’s experience in the treatment of chest arthralgia and heartache,and to refine Professor Mao Dexi’s medication characteristics and academic thoughts in the treatment of chest arthralgia and heartache.The use of traditional Chinese medicine inheritance auxiliary platform(v2.5)software(Traditional Chinese Medicine Inheritance Support System,referred to as TCMISS),)to analyze the first national famous traditional Chinese medicine professor Mao Dexi syndrome differentiation treatment of chest arthralgia and heartache.Methods: The outpatient medical records of Professor Mao Dexi in the treatment of chest arthralgia and heartache from January 2010 to December 2020 were collected,and the case information was recorded into the software of traditional Chinese Medicine inheritance Auxiliary platform(V2.5).The age and gender distribution of patients were obtained according to the basic information of patients,and frequency analysis was used to analyze the symptoms,syndrome types,drug frequency and menstruation of patients.Based on the module of "data Analysis system-Medical record Analysis",the association rules are used to analyze the law of symptoms and the law of prescription.Results:1.The common core symptoms of chest arthralgia and heartache are chest tightness,palpitation,chest pain,fatigue,shortness of breath,insomnia,dizziness,aggravation after activity,sweating,eating less,dry mouth and thin stool.The common tongue images are thin and white fur,tortuous veins under the tongue,white and greasy fur.The common pulse is string,thin,slippery and astringent.2.Common high-frequency drugs are Salvia miltiorrhiza,Radix Paeoniae Rubra,Glycyrrhiza uralensis,Allium macrostemon,Pinellia ternata,Jiangxiang,Trichosanthes,Guizhi,Ligusticum chuanxiong,Ophiopogon,Fructus Aurantii.According to the division of efficacy,it can be found that the most common clinical drugs are blood-activating drugs,deficiency-tonifying drugs,expectorant drugs and qi-regulating drugs.The most common medicinal properties are warm and cold,and the taste of medicine is mainly bitter,pungent and sweet,and the drugs included mainly belong to the lung,spleen,stomach,heart and liver meridians.The commonly used drug combinations are as follows:Radix Paeoniae Rubra-Salvia miltiorrhiza,Allium macrostemon-Trichosanthes.3.In terms of the distribution of syndrome types,the clinical syndrome of turbid phlegm,deficiency of both qi and yin and heart blood stasis is the most common,while the frequency of qi stagnation and chest syndrome,cold coagulation of heart pulse syndrome and yang deficiency and water flooding syndrome is relatively less.4.The main clinical symptoms of turbid phlegm syndrome are chest tightness,chest pain,palpitation,sputum and shortness of breath,aggravation after activity,dizziness,fatigue,sparse stool,or both tortuous veins under the tongue,thin white or greasy fur,slippery or astringent pulse.Commonly used drugs are: Pinellia ternata,Trichosanthes,Allium macrostemon,Salvia miltiorrhiza,Radix Paeoniae Rubra,Fructus Aurantii,Cinnamomum.The main clinical symptoms of deficiency of both qi and yin syndrome are chest tightness,chest pain,palpitation,shortness of breath,dizziness,aggravation after activity,dry mouth,sweating,eating less,thin stool,insomnia,thin white moss,weak pulse or slow pulse.The commonly used drugs are Radix Astragali,Guizhi,licorice,Radix Pseudostellariae,Radix Ophiopogonis,Fructus Schisandrae,Salvia mil.The main clinical symptoms of heart blood stasis syndrome are chest tightness,chest pain,pain leading to shoulder and back,palpitation,insomnia,dizziness and fatigue,tortuous sublingual collaterals,dark purple tongue,deep,thin and white fur.Commonly used drugs are: Radix Paeoniae Rubra,Ligusticum chuanxiong,safflower,salvia miltiorrhiza,Jiangxiang,licorice,Allium macrostemon,Trichosanthes,Angelica,Rhodiola,Pinellia,peach kernel,Achyranthes bidentata,Radix Rehmanniae.The main clinical symptoms of qi stagnation and chest syndrome are chest tightness,chest pain,upset,insomnia,palpitation,fatigue,shortness of breath,sweating,or both epigastric ruffian,lack of food,"liver depression belt" can be seen on the tongue,thin white or greasy fur,pulse strings.Commonly used drugs are: Bupleurum,Radix Paeoniae Alba,Peppermint,Salvia miltiorrhiza,Fructus Aurantii,Epimedium,Ligusticum chuanxiong,turmeric,Atractylodes.Conclusion:1.Professor Mao Dexi in the treatment of chest arthralgia,the clinical commonly used drugs are mainly warm drugs with mild properties;the medicine tastes mainly bitter,pungent and sweet;it mainly belongs to the lung,spleen,stomach,heart and liver meridians;drugs for promoting blood circulation,tonifying deficiency,resolving phlegm and regulating qi are common.2.Although the position of chest arthralgia and heartache is in the heart,it can involve the liver,spleen,lung,kidney and other viscera.According to the pathogenesis of this disease,Professor Mao Dexi discussed the treatment from the aspects of resolving phlegm,promoting blood circulation and opening depression,helped it from the aspects of replenishing qi and nourishing yin,and at the same time paid attention to the recuperation of patients’ life style to achieve the goal of curing both symptoms and root causes.